Active NPI
Cholla Behavioral Health LLC
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
National Provider Identifier
1982566584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CHOLLA BEHAVIORAL HEALTH LLC
- Practice address
- 5924 W Hedgehog PL
Phoenix, AZ 85083-6558 - Phone
- (602) 686-5779
- NPI assigned
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jericho Chebultz
- Title
- Owner
- Phone
- (602) 686-5779
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
5924 W Hedgehog PL
Phoenix, AZ 85083-6558
Mailing address
9201 N 25TH Ave Ste 185
Phoenix, AZ 85021-2717
Phone (602) 686-5779
National Provider Directory
National Provider Directory- Tax ID family
- Cholla Behavioral Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1285346536
Locations
9201 N 25th Ave
Ste 185
Phoenix, AZ 85021
Phone (602) 686-5779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1982566584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 N 25TH AVE STE 185",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212717",
"telephone_number": "602-686-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 W HEDGEHOG PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850836558",
"telephone_number": "602-686-5779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOLLA BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-02",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "CHEBULTZ",
"authorized_official_first_name": "JERICHO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-686-5779"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.